Bick’s Driving School, Inc
931-6200
For Online Classroom Students
Student Name
________________________________________________
Date _______________________
Parent cell
# ________________ Student Cell
#____________________
Date of Birth ________________
High School _________
License # _____________
Date Issued___________Medical
Issues_______________
24 Hours of Classroom Training to be conducted with an approved online school. Certificate must be presented to
Bicks Driving School before
training is scheduled. Certificate
#______________________________
FULL COURSE WILL CONSIST OF:
8
Hours
of In Car Training At $ _729.00
Based on the Ohio Driver Training Curriculum:
Driving Experience __________ Yes
____________ No if yes, How
many hours __________.
Student must complete all available training within
six months of the date the contract was signed_____________.
If all training is not completed
within 6 months you will have to repeat all training at an additional cost.
The
The Driving School Does
Not Guarantee the
Issuance of a Drivers License to the student.
Failure of the student to appear or cancel an appointment at a minimum of 48 hours an advance, For a
scheduled driving lesson,
Must call before 12 pm on Saturday,
Closed on Sunday. Or failure
to bring
Temp I.D. will be charged, A fee
of $120.00.
The Parent or Guardian, or the
person having custody,
and the student, shall be liable
to this Agreement.
Commercial Driving Schools are Licensed by the Department of Public Safety through the Ohio Traffic Safety
Office,
More info go to
www.drivertraining.ohio.gov;
I Have Read, Understand and
Received a Copy of this Agreement.
Student Signature
____________________________________________ Date __________________
Instructor Signature
__________________________________________ Date __________________
Parent Signature
_____________________________________________ Date __________________
Amount Paid Today $__________ If paid with check, driving will be scheduled 2 weeks from date of payment.
Be Advised: A check Processing fee
of $20.00 will be charged
.For any returned checks.
No
Refunds. Also $15.00 charge for a new Certificate if needed .